| NPI | 1255977435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW UNDERWOOD Owner And Clinic Director 404-735-0857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |